Thank you for your interest in running the London Marathon

Please answer the following questions and we will be in touch as soon as possible to confirm if you have been successful. If you have any questions about the form or would like any further information, please contact Victoria Bennett victoria.bennett@lshtm.ac.uk. Thank you!

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* 1. Full name (including Title)

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* 2. Address

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* 3. At what email address would you like to be contacted?

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* 4. What is your relationship to the London School of Hygiene & Tropical Medicine?

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* 5. Have you applied for a London Marathon 2018 ballot place?

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* 6. Which fund would you like to raise money for?

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* 7. We are asking our runner to raise at least £2,000 for the School. How would you raise this money?

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* 8. Why do you want to run the London Marathon for your selected fund at LSHTM?

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* 9. I agree that if I am accepted to the run the London Marathon for LSHTM, I will raise a minimum of £2,000.

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* 10. Thank you. We will keep your details to process your application. Please let us know if you would prefer not to hear from the Alumni team in the future.

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